3856 Big Timber Tr
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA093714
Date Issued: 04/29/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3856 Big Timber Tr
Lot: 17 Block: I Addition: Gardemvood Ponds 4th
PID:10-28803-170-01
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Jenny Hanson
1710 Alexander Road
Eagan . MN 55121
Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087
Valuation: 3.200.00 Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Wenzel-Ph-imouth Plumbing & Heating Rnjeev Purohit
1710 Alexander Rd 386 Big Timber Tr
Eagan MN 55121 Eagan MN 55123
(651) 452-1565
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
i CITY USE ONLY
L BL RECEIPT ljb `i
SUBD. GCtYC1 to VV0oU 1' ~'r1 S
RECEIPT DATE:
PERMIT # h~
2000 PLUM$INe PERMIT WsuffNTIAQ
CITY OF KAGAN
3$30 PILOT KNOB RD
£AGAN, MN 55188
651-681-4695
Please complete for: ➢ single family dwellings
➢ townhomes and condos when permits are required for each unit
➢ backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x _ $
Floor drain 3.00 x = $
Gas piping outlet ` minimum - 1 3.00 x =
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x I = $
Laundry tray 3.00 x =
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rough opening 1.50 x = $ -44
Shower 3.00 x = $ C-'
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x =
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x
State Surcharge .50 $ .50
Total > > $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: '~.Jr
OWNER NAME:: TELEPHONE LI ~~'at,~
(AREA CODE)
INSTALLER NAME: TELEPHONE L 1':2D
(AREA CODE)
STREET ADDRESS:
CITY: STATE: ZIP:
SIGN TURF OF ERMITTEE
C9 0 U 2005 RESIDENTIAL BUILDING PERMIT APPLICATION C,~P~-r( SIl . jettJ
City Of Eagan is 7l
3830 Pilot Knob Road, Eagan MN 55122 (-OT
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements Remodel/Repair Reauirements Office Use OnIV
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Surrey Recd, Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y -N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N
1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date I l 65 Construction Cost U%d
Unit/Ste #
Site Address ~'G
'
i ~ 2SK~ it
Description of Work !~C ~ `
Multi-Family Bldg - Y N Fireplace(s) - 0 _ 1 - 2 3 Foan:A "
Property Owner k(` 2 ev PI), ~t f+ Telephone # ( q~J 37 S 2.
d
Contractor L J - u C- crl` ' C
Address 15- LX C~ f City 414r V
State (t') / u Zip 5b a Telephone # (6/7- ) °75-0- Y (U,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? - Y ` N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( j
)
Mechanical Contractor Telephone
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work whi x~quire~
7 I
approval of plans. ` r I~
~a
? .9i;Y 0 6 2005 i
S a.n~S ~i in a
Applicant's Printed ame A p cant's S e
OFFICE USE ONLY
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF
❑ 04 02-plex ❑ 10 08-plex ~K 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg Y or _ N ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
11c, I
❑ 33 Alteration 0 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors
4
34 ReRlatement ; t *Demolidon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
C Footings (deck) X Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing Siding i Stucco - Stone _ Brick
Fireplace _ R.I. -Air Test -Final Windows
Insulation _ Retaining Wall
Approved By: + Z- Building Inspector
Base Fee
Surcharge
Plan Review rz G~f~~
MC/ES SAC
City SAC ~ --r-
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies +"7
Other
Total
Address 3 8 5 6 Big T i m b e r Trail Zip 5512-_
Lot 17 Blk 1 Sub Gardenwood Ponds 4th
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF E FINAL INSPECTION.
Date: • ~Z. U Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
CERTf KATE of SURVEY M32-2265-00
for.
D.R. HORTON
,x
7- 1
I
51 s~ 1a
~QO3.sR~ S b1b ro. \
~ aH
i
ICA U)
'yy app > > 6~ o ~ .
r 7 'fib 61`b 06 \ I
Z F
01 ~p
15
tz'
Lot = 14,312 sq.tr.
0 0 House = 2,511 s0l ,
O t,'
~o
Top curb to Gar'slab = 73.0 Top block =2E~
Lowest bsmt f1r
Scale: 1" = 30'
3856 Big Timber Trail
DESCRIPTION
I hereby certify that this survey, plan, or Lot 17, Block 1,
report was prepared by me or under my direct GARDENWOOD PONDS FOURTH
supervision and that I am a duly Registered Dakota County, Minnesota
Land Surveyor under the Laws of the State
of Minneso . Plat bearings shown
o Denotes iron monument
Existin4~ ~roposed
e 1 IZ 1905 Reg. No. 8140
BRANDT ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(612) 435-1966 M32-2265-00
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 773 r
DATE: 03/23/00 TIME: 14:16:15 #
ir
ID
N.~ME: DR HORTON INC.
2252 9220 3856 BIG TMBR T 30.00
3210 9001 3856 BIG TMBR T 1,699.35
3866 9379 3856 BIG TMBR T 100.00
3422 9001 3856 BIG TMBR T 1,104.58
2275 9220 3856 BIG TMBR T 1,089.00
3446 9001 3856 BIG TMBR T 11.00
2155 9001 3856 BIG TMBR T 0.50
3743 9220 3856 BIG TMBR T 50.00
2155 9001 3856 BIG TMBR T 113.00
3868 9220 3856 BIG TMBR T 492.00
CR124873 CONTINUED NEXT PAGE
USER ID: JAN CONTINUED NEXT PAGE
4 C)
CONTINUED FROM PRIOR PAGE
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 773
DATE: 03/23/00 TIME: 14:16:16
ID:
NAME: DR HORTON INC.
3716 9220 3856 BIG TMBR T 114.00
3713 9220 3856 BIG TMBR T 50.00
3865 9220 3856 BIG TMBR T 840.00
' M
a y
Total Receipt Amount: 5,693.43
CR124873
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
OT KNOB RD - 55122
} 3834 PIL
651-681-4675 -C)
Now Construction Rogultements r Rmilrements
3 registered site surveys showing sq. fL of W. sq. ft. M house 2 copies of plan
and 91 roofed areas (2D% mwdmrxn lot coverage ailowecn t set of energy calculations for heated additions
D 2 copies of plans (show beam s window sizes; poured Ind design; etc.) t site surrey for exterior oddillons & decks
> i set of energy coic lotion
3 copies M ~we preservation plan If IM platted after 7/1/93
DATE: /Z C7-c,~- CONSTRUCTION COST:
DESCRIPTION OF WORK:
aall
STREET ADDRESS:
LOT. .J BLOCK: ki Z j(C 5._
Name: Phone
PROPERTY Last First
OWNER
Street Address:
City State: ZIP:
Company:'" Y1 Phone 11
(area code)
CONTRACTOR r
Street Address: f t 2 r License # Zcrt:~~-)- 1 Exp. 3A11 Sim . 2
City C,-C) State: (12 Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone { )
Street Address: Registration
City State: Zip:
w ~
Sewertwater licensed plumber (if installing sewedwater): e r~ Phone
I h4by acknowledge that I have read this application, dote that the Wotmation Wcorrect, and agree to comply with al app~cr~le state
of M,kvwsoto Statutes and City of Eagan Ordinances.
!?p
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No hAoNot Required
OFFICE USE ONLY
r
BUILDING PERMIT SUBTYPES
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi
X 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti
❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 05 03-plex ❑ 11 10-plex P1bg y or _ N ❑ 25 Miscellaneous
❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg.
WORK TYPE
A 31 New ❑ 36 Move Bldg. ❑ 43 Reroof
❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding
❑ 33 Alteration ❑ 38 Demolish (interior) ❑ 45 Fire Repair
❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width t Footprint sq. ft.
Const. (Actual) Basement sq. ft. ! Census Code 1 b !
(Allowable) Main level sq. ft. 16 ~7 MC/ES System
UBC Occupancy .~L1, , sq. ft. City Water
Zoning ,C2gsq. ft. Booster Pump
PRV
Fire Sprinklered
MISCE EOUS INSPECTIONS
S cco tone /3/1-fL,
APPROVALS
Planning Building l~ f L Engineering Variance
Permit Fee Valuation:
Surcharge.
Plan Review
License
MC/ES SAC - q06
City SAC /V11
Water Conn.
w
Water Meter 9r,
Acct. Deposit ry7,~- d
S/W Permit
$)W Surcharge
-Treatment Pi.,..
Park Ded.
' Trails Ded.`
Other
Copies
Total:
SAC Units
% SAC
~tX/ll/~Lf/Jl (G, TLG.
J 0)
XLAZ4
14750 Galaxie Ave. Suite. 104
Apple Valley, Minnesota 55124
(612) 432-2044
EXTERIOR ENVELOPE AVERAGE "Uff COMPUTATION
NAME, b, i~ H C± r 1-'4 Af PLAN NUMBER 14 A P~7t57-,::7N .
Determine working square footage of each
1. Total exposed wall area...... 3 sq.ft. X .11.._ c1 , ~2
2. Total roof/ceiling area...... t I n -t sq. ft:: X .026 q v. 2 7
Total exposed wall area above floor = u `
a. Total wall window area
b. Total door area......
c. Total sliding glass door area...........
d. Total fireplace wall area
e. Total wall framing area (average
f. Total net wall area above floor......... ~.a"`•~
g. Total rim joist area..........
Total exposed foundation area
h. Total foundation window area............
1. Total net foundation area above grade... 9 ~
Determine "U" value of each wall segment
a. X $fun .52 t -f v K,
b. X fluff .139 = S. i.S
c. X fluff .52
S a
d. X fluff .68
=
e. X "U" .096 = {<14q
f. X "u" .043 = I 1 9. 0
g. X flu" , 041
h. X fluff .52 a
i. X null .082 = t , 4 j
3. TOTAL
If item #3 is the same as, or less than item #1, you have
met the intent of SBC 6006 (c) 2.
-1-
Total exposed roof/ceiling area ~l -7 7
Total gross roof/ceiling area =
.1. Total slrlight area.......
k. Total roof/ceiling framing area.......
1. Total net insulated roof/ceiling area. 7>~~ 4th
Determine "U" value for each roof/ceiling segment
X "U"
k. X "Uti .024 1. X fluff .022 = 6 ` . 7 y
4. TOTAL
.nom
If total of #4 is the same as, or less than #2, you have
met the intent of SEC C006 (c) 1..
To utilize the total envelope system method, the values
established by the sum of items #3 and #4 shall not be
greater than the sum of items #1 and #2.
1. Lt+ 2. 9C'. = Sze t
3. ;9? 9 + 4. Ll-?0.ra►
Materials Therrral resistance "R"
Exterior air.........
Siding material......
Sheathing............
Insulation...........
Sheetrock............
Interior air.........
Rim
Concrete blocks......
-2-
LOT SURVEY CHECKLIST FOR RESIDENTIAL
` BUILDING PERMIT APPLICATION
PROPERTY LEGAL: tT APO
DATE OF SURVEY:
N
LATEST REVISION:
w
cr
p DOCUMENT STANDARDS
O 4 a
Registered Land Surveyor signature and company
n Building Permit Applicant
Legal description
, ❑ Address
il~,~o ❑ North arrow and scale
❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.)
f 2 Directional drainage arrows with slope/gradient %
p Proposed/existing sewer and water services & invert elevation.
❑ Street name
❑ Driveway
❑ Lot Square Footage
❑ ❑ Lot Coverage
ELEVATIONS
Existing
/ Sewer service (or Proposed)
W ❑ ❑ Property corners
~ ❑ Top of curb at the driveway
❑ Elevations of any existing adjacent homes
Adequate footing depth of structures due to adjacent utility trenches
Proposed
❑ Garage floor
n First floor
❑ Lowest exposed elevation (walkout/window)
❑ ❑ Property corners
❑ ❑ Front and rear of home at the foundation
PONDING AREA (if applicable)
❑ Easement line
❑ 0 NWL
❑ HWL
❑ Pond # designation
• Emergency Overflow Elevation
DIMENSIONS
❑ Lot lines/Bearings & dimensions
,P ❑ Right-of-way and street width (to back of curb)
❑ ❑ Proposed home dimensions including any proposed decks, overhangs greater than 2`, porches, etc.
(i.e. all structures requiring permanent footings)
❑ . Show all easements of record and any City utilities within those easements
6~' ❑ Setbacks of proposed structure and sideyard setback of_adj nt existing structures
❑ ❑ Retaining wall requirements, if any
.04
Reviewed:
Name / Date
March I W9
CRAIGBLDGPRMT.FM
CERTIFICATE OF SURVEY M 32-2265-00
for. ;
D.R. NORTON
\
y o$» 0\ 10
~go3.sA~ 5 65151 rot ,
i
8`~ ~0 26`'0 84/.~ ~ \ Wc,~
848.3 0 oe a Os \
cP.. \ o
oG 10
~ \ ~ q,4 °5 887 a~ ` !
'Cl 1 ,i ~.~O
Loi = 14,912 sqxr,
oo House = 2,511 sq.R-
N+r
Top curb to Gar slab = 3, 0
Top block
Lowest bsmt fir
Scale: 1 30'
3856 Big Timber Trail
DESCRIPTION
I hereby certify that this survey, plan, or Lot 17, Block 1,
report was prepared by me or under my direct GARDENWOOD PONDS FOURTH
supervision and that I am a duly Registered Dakota County, Minnesota
Land Surveyor under the Laws of the State
of Minneso Plat bearings shown
o Denotes iron monument
Existinq.-", Proposed
e l jZ Z tJ Reg. No. 8140
BRANDT ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(612) 435-1966 M32--2265---00
pr-
Cry USE ONLY
LOT PERMIT
Et$t3. : RECEIPT C9Q , y Y
RECT DATE: r ,
000 CHMICI PST
- CrTT. Or '=ate
2830. PI RP`
Z,AGAX t 55122
AWAV"
Comp ho this +on if you we ins g HVAC iri a single farnHy dvu~1 , p O;
HVA+C: ' 0.300 M B T U ,
ADDITI? NAL 5% M. BTU • Gas o wets (minimmn of ow required @ $3.00'e&) ,
u
Stmt Suzarg
Tatai rC'
Cor Fk a i%s ,p ti8n : if you', auc j & or , asx ' .
tfS1 47, or condo. Pk a Wig if it is st new rtes, **afion, or tmpw.
A ra ion Rq)air
Air Condit iming
hunace
Air ex t~th~
Fee
Total.
_ era a Cati for. hugwnx
WAILER NAME; PHONE
4AMA QDW t
STATE*
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MY USE OKV-
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140M, MN 55122
£51-682-4675
Plrww°comoew4or sdt
mute "&W wt" $wlv 6s`om r***"1k K+ fto"
DATE:
Wkerr ar a ►VJ rutds # and a wk ems' 651-al-";If w Aw", t t~', ems'
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boa of work:
Fees: M of ooh prit Q11 S".00 M,"aj~ &e, W"*M is gn*er.
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office"OserOnly
3 registered site surveys shoving sq. ft. of lot, sq. ft of house; and alt roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report , Y _ N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions 8 decks Tree Pres Plan Recd Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Prey Required Y N
1 set of Energy Calculations On-site Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Plans are considered public information unless you state the are trade secret and the reason.
Date /Q I l/ - Construction Cost
Site Address yJ~tp (c-, iw,~- ~r Unit/Ste #
Description of Work
Multi-Family Bldg _ Y~ Fireplace(s) - 0 - 1 2
Property Owner rf"o- ij Telephone # (C6) :~L70 I ~
r
Contractor
Address 2, City
State y' Zip ~l Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categga I _ Minnesota Rules 7672
Energy Cade Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber Telephone # ( }
Mechanical Contractor Telephone # ( }
Sewer/Water Contractor Telephone # ( }
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and
aal of Tans.
Applicant's inte ame Applican ignature
DO NOT WRITE BELOW THIS LINE .
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex o 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Adds. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
i
Description: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
Footings (addition) _ Final/No C.O.
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water - Final _ Pool _ Ftgs ` Air/Gas Tests _ Final
- Framing - Siding _ Stucco Lath _ Stone Lath Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
- Insulation _ Retaining Wall
Approved By: ---~-~-Y Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Use BLUE or BLACK Ink
I For Office -U-se
I
Permit
City of Eap c ,
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 i staff: X70 I
Fax: (651) 675-5694
I I
..-----------------J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION U
Date: Site Address:
S
Tenant: Suite
RESIDENT OWNER Name: A~:r c-e-L2 Coe-o ~ 1± Phone:
Address / City / Zip: S A=Q
rf c
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 5F 5e y-,qe/& ,,u s j~j
Construction Cost: V0,cyL" ° Gu Multi-Family Building: (Yes / No )
CONTRACTOR Name: c ~!frCMG - C License :2 055-0 7
Address: A 1-7011 City: T/~r,4t_4 o 1"<"_
State: Zip: -5 L 06 C1 Phone: (2 7
Contact: M Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x ~r'1 S i77,~ C Y' G'2 X_
Applicant's Printed Na A i nt's Signatu
Page 1 of 2
v- 62
DO NOT WRITE BELOW THIS LINES-'
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition 44 7 SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction V 49 Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
c Fireplace: Rough In Air Test Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By:~ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review r
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
Use BLUE or BLACK Ink
r I
-z> Foi- Office Use
~ Permit
City of Ea Ed~ I i Permit Fee
:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I Staff:
L-----------------I
2010 MECHANICAL PERMIT APPLICATION
Date: /D Site Address:-?oS/~
5~
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: License
i /
Address: City:
State: 22~4 Zip: Phone:
Contacts Email:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE *-Or- F-arA8New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
r
Office Use I
For Afthh
Permit
City of Ea~a~ I a~
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~e.5 / r ~I Unit
Name: /e o, -e-.e-V ?-or b h I + Phone: to 5 1 -Ono - 70a~
Resident/ / J
Owner Address / City / Zip: 5Co ; ✓ ; . ri / / L
Applicant is: Owner Contractor
Type of Work Description of work: lie. W;40 t4
Construction Cost:y 0Ob Multi-Family Building: (Yes / No
Company: 'fSu.,- S e Contact:
Address: /S IoZ GUI/ / city: _y
Contractor
Stater Zip: Phone: 1,Q -VB 1-mail:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
-Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
;days of per . is uance.
x cif
pplicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130031
Date Issued:03/31/2015
Permit Category:ePermit
Site Address: 3856 Big Timber Tr
Lot:17 Block: 1 Addition: Gardenwood Ponds 4th
PID:10-28803-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rajeev Purohit
3856 Big Timber Tr
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
use a�u�v� oLr►�+n urn
, r_-__-_-___-__.--.--�
I For Office Use �
" ' ��iD ��� '
���. � Permit#: �
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3830 Pilot Knob Road �
� Date Received: t
EagaFl MN 55122 i � � �
Phone: (651)675-5675 i sta�f: � `
i
Fax: (651)675-5694 L---------------T"
2014 RESIDEN�'IAL�PLUM�ING PERh�IT APPLICATION
Date: J /� SiteAddress• �� � r ��1'�� ��
���_ .s�� �
Tenant: � L@.n��� � Suite#• _
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� s�. �. y' �,,:,,� Contact:� ���1�...�,..w,m....._-___.__. EmaiL �� � ��� ���z�. . . � �
� $�a��,�� ,�-�� - i�
t4'�_.. . .e�rz i�,'<;y
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:•:�� ��.;. °:1; Work in R.O.W.
.�;;�:.w�� -::�f;�:. Modi S ace
�.. Rebuiild p � 4
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�`�. acement -
;�,;�;;;� ,:. e Re I _
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ar. �� i���a�t ? �
-�.�r >:� :� "
3 y:w'��'�'-x>°^�"���L��;����'_�� Description of work: .� � ��-< �
.�:,:J 4:�;�>-_U`..,,. .•:.:,:. . . . . �,�r.R„����.
:.:�;,:.,:.,M _ ,.. �.- - ,
,��::<.:�;�,�t.�;;::��_±�; ,:
>.;��,�;.�<;s:�s:�:.,,..�--,. �;� RESIDENTIAL ;
=`<r�,� ..,�,,�;..�r�:<,�:;..;';:;::.::
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i:l„.yl���:�i?�13 i..c'el .iS;f.i.i�::..ii j:
�:��5;:.;;;:i, - = - :�.f:;'
:;:5;s ;z:f::: I'
�;��_: Heater �:
_ �:`�� Water
_ ;;;.
:_:��:'�;''��Y .f��a�_
,�'�-.. ,wr,.. ^•�� � �.
e er
at
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,,r.:- =>F:`���<�::..: Lawn Irti at'tort(_RPZ/_ )
:;s">• �'�r:��r:;t'F;;� 9 r,
� E :�r
�?�t���:��;���<��j� � Add Plumbing Fixtures(_,Main/,_Lower Level) 7
_ �`���'Y��;: �:��"`�'°'f$` Se tic S stem '
_ ,.r...; -�<%>` P Y
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ter
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e.�Y�'?�;:z^'i:�."`ii�;a:�:,
. � f S �.• . r-n�a-a--�-n-rrma. - .
; Abandonment ... . .�..-_.�_�<�� ,,.. . .
��rr�_�•:�,�. :��.x���.'M�;.,.�;� �m-a„�,��. .-:�.,�,�:a.n,,�:...�,,,�_-.,n�b . .. �.��-��..n,�-.,�,--,��--�� - �i
RESIDENTIAL FEES: `
;;
;'
� $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes:65.00 State Surcharge) r,
�,
$60.00 Lawn I�'rigation(includes$5.00 minimum State Surcharge) �
$60.00 Add Plumbing Fixtures,Septic Svstem Abandonment,Water Turnarou�nd*(includes$5.�0 State Surcharge) r
*Vtlater Turnaround(add$200.00 if a 5/8"meter is required) ��
� $115.00 SeptiC Svstem New($10.00 per as built)(inciudes County fee and$5.00 State Surcharge) (�� ��
� . _,._..-�. ..�,._.�-c,� � -_�� __ . _ �.,�,.�,m,��_-�,������.�,.s
TOTAL.EEES$�__._ .�.�
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orp
I hereby acknowledge that this information is complete and accurate;that the work will be in coniformance with the ordinances and codes of the City ofi
Eagan; that I understand this is not a perznit, but only an app�ication for a permit, and work is not to start without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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